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Sujarwanto Sujarwanto, Sujarwanto
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Cryotherapy terhadap Penurunan Nyeri Pasien Open Fraktur Femur Post Open Reduction External Fixation (OREF): Studi Kasus Effendi, Raihan Adijun; Murtaqib, Murtaqib; Susanti, Ika Adelia; Sujarwanto, Sujarwanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 10, No 1 (2026)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.115776

Abstract

Objective: Patients with grade III open fractures treated with OREF may experience postoperative pain, which can hinder mobilization and prolong their hospital stay. Non-pharmacological interventions such as cryotherapy are needed to help control pain safely. Clinical nursing practice does not have enough case studies on the effectiveness of cryotherapy in reducing postoperative pain. Objective: To describe the application of cryotherapyfor pain reduction in a patient with a grade III open femoral fracture following OREF in a case study. Case Report: This case study involved one male patient with postoperative pain following femoral fracture surgery who received cryotherapy in accordance with the Standard Operating Procedure (SOP) for cold therapy at Seruni Ward, dr. Soebandi Regional Hospital, Jember. For three days, the therapy was given once daily for 15 minutes. The researcher assessed the intensity of pain using the Numeric Rating Scale (NRS) before and after each intervention session. Result: Pain scores decreased gradually from 6 to 4 on the first day, 5 to 3 on the second day, and 4 to 2 on the third day. In addition, facial grimacing and protective behavior showed gradual improvement over the three-day intervention period. Conclusion: Cryotherapy was effective in reducing postoperative pain and can be utilized as a safe and practical non-pharmacological nursing intervention.INTISARILatar belakang: Nyeri pasca operasi pada pasien fraktur femur OREF, terutama fraktur terbuka grade III, dapat menghambat mobilisasi dan memperpanjang rawat inap. Intervensi nonfarmakologis seperti cryotherapy diperlukan untuk membantu mengontrol nyeri secara aman. Studi kasus mengenai efektivitas pemberian cryotherapy terhadap penurunan nyeri pasca operasi masih terbatas dalam praktik keperawatan klinis Tujuan: Mendeskripsikan penerapan cryotherapy terhadap penurunan nyeri pada pasien fraktur femur sinistra terbuka grade III pasca OREF dalam studi kasus. Laporan kasus: Studi kasus ini melibatkan satu pasien laki-laki dengan nyeri pasca operasi fraktur femur yang diberikan terapi cryotherapy sesuai dengan Standar Prosedur Operasional (SPO) tindakan terapi dingin di Ruang Seruni RSD dr. Soebandi Jember, yaitu selama 15 menit, satu kali sehari, selama tiga hari berturut-turut. Penilaian tingkat nyeri dilakukan oleh peneliti menggunakan Numeric Rating Scale (NRS) melalui pengukuran sebelum (pretest) dan sesudah (posttest) pemberian intervensi pada setiap sesi terapi. Hasil: Skala nyeri menurun bertahap dari 6 menjadi 4 pada hari pertama, 5 menjadi 3 pada hari kedua, dan 4 menjadi 2 pada hari ketiga. Selain itu, ekspresi meringis dan sikap protektif menunjukkan perbaikan bertahap selama tiga hari intervensi. Simpulan: Cryotherapy efektif menurunkan nyeri pasca operasi dan dapat digunakan sebagai intervensi keperawatan nonfarmakologis yang aman dan praktis.
Pengaruh Terapi Relaksasi Benson Terhadap Ketidakstabilan Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2: Studi Kasus Masruri, Mohammad Adib; Murtaqib, Murtaqib; Nistiandani, Ana; Sujarwanto, Sujarwanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 10, No 1 (2026)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.115849

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder that results from a decrease in insulin sensitivity, which results in persistent high blood sugar levels. Benson relaxation therapy is a complementary treatment that can be used in addition to medication. The use of this in nursing care is not well documented in case study. Ojective: This research aims to examine how Benson relaxation therapy affects the reduction of blood sugar levels in individuals diagnosed with type 2 diabetes. Case report: A 51-year-old female with a type 2 diabetes diagnosis was hospitalized at the RSD Dr. Soebandi, primarily reporting feelings of weakness and nausea. The lab report showed that a blood glucose measurement of 389 mg/dl, an HbA1c level of 11, 6%, and glucosuria (+3) at 300 mg/dl were all within the range. Benson relaxation therapy was administered daily for 10 to 15 minutes to manage her hyperglycemia over the course of three days. The effectiveness of this method was assessed by analyzing the patient's blood glucose levels before and after treatment sessions throughout the treatment period. Results: During the time of the intervention, the glucose levels in the blood dropped from 389 mg/dl to 380 mg/dl on day one, from 215 mg/dl to 205 mg/dl on day two, and from 185 mg/dl to 180 mg/dl on day three. Conclusion: Benson relaxation therapy is a nursing technique that is proven to be safe and effective in managing blood sugar levels.INTISARILatar belakang: Diabetes melitus tipe 2 (T2DM) merupakan sebuah kondisi metabolik yang bersifat kronis, di mana kadar gula darah tetap meningkat disebabkan oleh berkurangnya respons tubuh terhadap insulin. Selain cara pengobatan, terapi relaksasi Benson bisa dijadikan sebagai metode tambahan. Namun, masih sangat jarang temuan kasus yang menjelaskan penggunaan terapi ini dalam konteks studi kasus keperawatan. Tujuan: Tujuan dari studi kasus ini adalah untuk meneliti dampak terapi relaksasi Benson terhadap penurunan kadar gula darah pada pasien diabetes tipe 2. Laporan kasus: Seorang wanita berusia 51 tahun yang didiagnosis menderita diabetes mellitus tipe 2 dirawat di RSD Dr. Soebandi dengan keluhan utama kelemahan dan mual. Hasil tes laboratorium menunjukkan kadar glukosa darah acak sebesar 389 mg/dl, kadar HbA1c sebesar 11,6%, dan glukosuria (+3) pada tingkat 300 mg/dl. Selama tiga hari, dia mendapatkan penanganan hiperglikemia dengan terapi relaksasi Benson, yang dilakukan sekali sehari selama 10–15 menit. Keefektifan intervensi dinilai dengan melakukan perbandingan terhadap perubahan kadar glukosa darah pasien sebelum dan sesudah terapi selama periode perawatan. Hasil: Selama periode intervensi, kadar glukosa darah turun dari 389 mg/dl menjadi 380 mg/dl pada hari pertama, dari 215 mg/dl menjadi 205 mg/dl pada hari kedua, dan dari 185 mg/dl menjadi 180 mg/dl pada hari ketiga. Simpulan: Terapi relaksasi Benson merupakan intervensi keperawatan yang efektif dan berbasis bukti, yang dengan aman membantu pengendalian kadar glukosa darah.  
Co-Authors Akhmad Zainur Ridla Anggraeny, Diah Ani Rusilowati Arief, Budi Ash Siddieqy, Nur Ramadhani Ashar, Muhammad Nurul Ashar, S.Pd., M.Ed., Muhammad Nurul ASRI WIJIASTUTI BENI SETIAWAN Budi Purwoko Budiyanto Budiyanto Danis Ade Dwirisnanda Effendi, Raihan Adijun Emy Yunita Rahma Pratiwi, Emy Yunita Rahma Endang Pudjiastuti Sartinah Fachry Abda El Rahman Fadhil, Dimas Nu’man FEBRITA ARDIANINGSIH Ghozali, Muhammad Afifuddin Kartika Rinakit Adhe, Kartika Rinakit Khofidatur, Rofiah Malisan, Johny Masruri, Mohammad Adib Minarsih, Ni Made Marlin Mochamad Nursalim Murtadlo Murtadlo Murtaqib Murtaqib Nistiandani, Ana Nofita, Citra Nur, Devina Rahmadiani Kamaruddin Nurismawan, Ach. Sudrajad Pahrurrozi, Muhammad Pamuji Pamuji, Pamuji Ratna Wardani Rofiah, Khofidotur Ruris Haristiani Shastika, Yuniawati Siti Mahmudah Siti Masitoh Sri Isna Wardhani Sri Rahardjo Suarti, Siti Susanti, Ika Adelia Sutianingsih, Sutianingsih Sylvia, Aurellia Agatha TRIHANTOYO, SYUNU Verdian, Ristania Harwin Vrisaba, Nanda Audia Watini, Watini Widiastuti, Erna Widjati, Wiwik Wiwik Widajati Wulan Patria Saroinsong YATIM RIYANTO ZAINI SUDARTO